Rep. Paul McMurtry

Maddy summaryHD 2485 prohibits discrimination against people with disabilities in Massachusetts healthcare. It bans healthcare providers and entities from denying lifesaving treatment or prioritizing care based on assumptions about a person's quality of life or "worth" due to disability, or using metrics that value lives with disabilities less than others. The law specifically prohibits conditioning treatment on having a "Do Not Resuscitate" order or advance directive, while allowing consideration of short-term survival likelihood in crisis care. This applies to all public and private healthcare entities in Massachusetts, ensuring equal access to treatment regardless of disability.

Maddy summaryThis bill requires Massachusetts utilities to create a public online dashboard showing real-time breakdowns of residential utility bills, including clean energy program benefits and costs. It mandates that at least 70% of certain clean energy compliance payments must be returned to ratepayers as annual bill credits within 90 days. The dashboard will display historical rate components, program benefits (like reduced emissions and system reliability), and utility cost recovery mechanisms. These changes directly affect residential electricity and gas customers by increasing bill transparency and providing direct financial returns for clean energy investments.

Maddy summaryHD 3390 modifies Massachusetts tax law to address income from foreign entities. It specifies that amounts included in federal income under Section 951A of the IRS Code (related to global intangible low-taxed income) will no longer be treated as dividends for state tax purposes, and taxpayers can only deduct 50% of this income instead of the full amount. This primarily affects businesses and individuals with foreign income subject to Section 951A provisions. The changes apply to tax years beginning on or after January 1, 2025.

Maddy summaryH 5022 prohibits health insurance companies from denying payment for covered services solely because a patient received a referral from a doctor outside the insurance network. This affects patients seeking care from non-network providers and requires insurers to cover services under the same terms as network referrals. The bill amends multiple sections of Massachusetts health insurance laws (including Chapters 32A, 32B, 94C, 175, 176A, 176B, 176G, and 176I) to include this uniform rule. It takes effect one year after enactment for all new, renewed, or amended insurance contracts.

Maddy summaryThis bill sets new wage standards for direct care workers in Massachusetts human services programs. It requires that direct care staff wages meet or exceed the 75th percentile of similar jobs in the state (based on Bureau of Labor Statistics data), with salary increases for these roles tied to this benchmark. The law specifically excludes top executives (like CEOs and CFOs) from these wage requirements. It also mandates transparent calculation of fringe benefits and payroll costs for providers, and ensures compliance won't reduce funding for existing social service programs. The changes take effect 180 days after enactment, with a planning process starting July 1, 2025.

Maddy summaryHD 1867 increases payment rates for mental health services provided by clinics and independent practitioners. Starting January 2027, it requires a 5% minimum rate increase per service code and mandates that clinics receive at least 20% more payment than independent practitioners for comparable services. The bill also requires biennial reviews of these rates, considering inflation (using Medicare Economic Index data), wage comparisons to state labor statistics, and costs from new government mandates. This directly affects mental health clinics, independent practitioners, and managed care entities that pay for these services.

Maddy summaryThis bill establishes statewide targets requiring Massachusetts health care entities to increase primary care spending as a percentage of total health care expenditures. It sets specific annual targets: 10% for 2027, 12.5% for 2028, and 15% for 2029, with future adjustments capped between 15-20%. The commission must hold public hearings annually to review progress, publish targets online, and establish a 25-member Primary Care Council to monitor implementation. The bill directly affects all health care providers, insurers, and the state health care system by mandating measurable increases in primary care funding.

Maddy summaryThis bill authorizes the Division of Capital Asset Management and Maintenance to use eminent domain to acquire specific land parcels in Norwood owned by MPT of Norwood-Steward, LLC. The acquired land includes Norwood Hospital and any adjacent properties needed to support the project. After acquisition, the Division will transfer control of the land to the Department of Public Health, which will then assign it to a qualified nonprofit hospital operator. The stated goal is to ensure public access to healthcare, and the bill applies specifically to the town of Norwood and the named property owner.

Maddy summaryThis bill (HD 3226) creates a new "Secretary of Equity" position within state government and adds "health equity" as a core requirement across health-related laws. It defines "priority populations" as groups disproportionately affected by health disparities and mandates that health agencies incorporate health equity into all decisions, including requiring a "chief health equity officer" (Section 8). The bill also establishes new reporting requirements for health care spending trends, including data on health inequities (Section 17), and sets aggregate expenditure targets for primary care and behavioral health services (Section 9A). It directly affects state health agencies, healthcare providers, and priority populations by requiring systemic changes to address health disparities.

Maddy summaryThis bill requires Massachusetts to apply for federal approval to establish an assisted living option as an alternative to nursing homes for Medicaid-eligible individuals at risk of institutional care. It mandates that the combined cost of assisted living services and Supplemental Security Income benefits must not exceed 80% of the cost of comparable nursing home care, using existing MassHealth waiver data. The bill also requires three reports: one on federal application status and fiscal impact within 120 days, and two on implementation barriers and community access within 180 days. These reports will guide how MassHealth integrates assisted living into its waiver programs, ensuring equal access for members needing long-term care services.